Individual
KELLY DRISCOLL CASTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 S TELSHOR BLVD, LAS CRUCES, NM 88011-4889
(575) 382-3500
Mailing address
5006 ROUND ROCK DR, EL PASO, TX 79924-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06748
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06748
—
NM
Enumeration date
09/28/2009
Last updated
09/28/2009
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